Provider Demographics
NPI:1811335177
Name:CRAIG, MICHELE (DMD)
Entity type:Individual
Prefix:DR
First Name:MICHELE
Middle Name:
Last Name:CRAIG
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:DR
Other - First Name:MICHELE
Other - Middle Name:
Other - Last Name:STOSSEL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DMD
Mailing Address - Street 1:2078 SOUTH 6TH STREET
Mailing Address - Street 2:
Mailing Address - City:INDIANA
Mailing Address - State:PA
Mailing Address - Zip Code:15701
Mailing Address - Country:US
Mailing Address - Phone:814-938-8554
Mailing Address - Fax:814-938-8559
Practice Address - Street 1:2078 SOUTH 6TH STREET
Practice Address - Street 2:
Practice Address - City:INDIANA
Practice Address - State:PA
Practice Address - Zip Code:15701
Practice Address - Country:US
Practice Address - Phone:814-938-8554
Practice Address - Fax:814-938-8559
Is Sole Proprietor?:No
Enumeration Date:2013-06-10
Last Update Date:2022-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS039520122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist